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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Patient Preparation and Assessment25%- Physical Assessment
  • 1. Anthropometric measurements
  • 2. Patient positioning and comfort
- Patient Interview and History
  • 1. Assess patient ability to perform tests
  • 2. Identify contraindications
Data Quality, Analysis, and Reporting5%- Quality Control
  • 1. Identify technical errors
- Reporting
  • 1. Interpretation and documentation
Diffusion Capacity (DLCO)10%- Test Performance
  • 1. Breath-hold technique
  • 2. Gas sample analysis
Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Equipment Operation and Calibration30%- Infection Control
  • 1. Filter usage and replacement
  • 2. Cleaning and disinfection
- Calibration Procedures
  • 1. Volume and flow calibration
  • 2. Gas analyzer calibration
Spirometry15%- Measurement and Calculation
  • 1. FVC, FEV1, and derived indices
  • 2. Comparison with predicted values
- Pre-test Procedures
  • 1. Patient coaching techniques
  • 2. Acceptability and repeatability criteria
Body Plethysmography10%- Lung Volume Measurement
  • 1. Thoracic gas volume (TGV)
  • 2. Residual volume (RV) and total lung capacity (TLC)

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. A 12-year-old patient completed an evaluation for exercise-induced asthma in the pulmonary function laboratory. The patient completed six minutes of exercise on a treadmill with a heart rate of 145 to 150/min.
The following spirometry data were collected:

A pulmonary function technologist should conclude that the exercise test is

A) Adequate workload with a positive response
B) Inadequate workload with a positive response
C) Inadequate workload with a negative response
D) Adequate workload with a negative response


2. Which of the following is the most reliable indicator that a patient has achieved his maximum exercise capacity during a progressive exercise (stress) test?

A) VO2remains stable with increasing workload
B) Respiratory exchange ratio greater than 0.8
C) Minute ventilation greater than 170 L/min
D) Heart rate of 210/min


3. Which of the following is correct regarding smoking cessation?

A) Support systems are minimally effective in smoking cessation.
B) Withdrawal symptoms are mild and last less than 48 hours.
C) Pharmacologic therapy increases chances of success along with counseling.
D) Smokers who quit suddenly and without help are most likely to be successful.


4. The following data are obtained for a 60-year-old male undergoing an exercise (stress) test on an ergometer:

A pulmonary function technologist should

A) Stop the test because the blood pressure response is abnormal.
B) Stop the test because the heart rate is too high after 10 minutes.
C) Stop the test because this is an abnormal VD/VT response.
D) Continue the test since this is a normal cardiopulmonary response.


5. A treadmill is set so that the belt rises 1 ft in a horizontal distance of 10 ft at 3 mph. The percent grade indicator should read

A) 3.0%
B) 30.0%
C) 10.0%
D) 1.0%


Solutions:

Question # 1
Answer: A
Question # 2
Answer: A
Question # 3
Answer: C
Question # 4
Answer: A
Question # 5
Answer: A

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